醒来时倾向于横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的
Christian Quinones1, Wesley Jameson1, Ryan Diaz1
1Departments of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
Journal of neurosurgery. Case lessons
|September 22, 2025
概括
这个案例研究表明了清醒,单个位置的倾向侧腰椎体融合的可行性,同时进行后部解压和融合. 这种方法可以减少经过复杂的脊椎手术的高风险患者的外科风险.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 在脊髓麻醉下进行醒着的脊柱手术可以最大限度地降低老年或医疗复杂的患者的术后风险.
- 这份报告详细介绍了第一个清醒的,单个位置的倾向侧向横向横向的L3-4,与后部解压和融合相结合的身体间融合.
- 这项手术针对77岁男性的神经性听和机械背部疼痛.
研究的目的:
- 介绍一个清醒的,单个位置的倾向横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向的横向.
- 描述一种技术方法,使得在脊柱麻醉的持续时间内完成.
- 突出患者选择,麻醉规划和手术内协调方面的考虑.
主要方法:
- 一名77岁的男性患有神经性关节障碍和机械背部疼痛,经历了清醒,单位倾斜的横向横向横向横向的身体间融合 (L3-4) 与后部解压和融合.
- 该手术旨在在3小时脊髓麻醉窗口内完成.
- 关键技术包括同时访问的倾斜定位,手术内导航,双外科医生协调和针对患者的麻醉规划.
主要成果:
- 手术在脊髓麻醉期间成功完成,没有转换为全身麻醉.
- 患者在血液动力学上保持稳定,并容忍倾斜的位置.
- 没有观察到与腰椎相关的并发症,具有有利的临床和放射性结果.
结论:
- 清醒,单个位置的倾向侧侧腰间体融合与并发的后部解压和融合是可行的.
- 精心选择患者,麻醉规划和手术内协调是成功的关键.
- 完善这种技术可以通过平衡效率和脊髓麻醉的好处来扩大其在高风险人群中的使用.
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